Archive for October, 2009

Scar Abscess Six Years after Cesarean Section: Laparoscopic and Hysteroscopic Management

Saturday, October 31st, 2009

We present the case of a patient who presented an abscess in the cesarean section scar tissue 6 years after the surgery. The myometrium covering the abscess was almost absent. This lesion was first managed with antibiotic therapy and ultrasound-guided aspiration. After failure of the initial therapy, this situation was ...

Techniques for cesarean section

Saturday, October 31st, 2009

The effects of complete methods of cesarean section (CS) were compared. Metaanalysis of randomized controlled trials of intention to perform CS using different techniques was carried out. Joel-Cohen–based CS compared with Pfannenstiel CS was associated with reduced blood loss, operating time, time to oral intake, fever, duration of postoperative pain, ...

Understanding the Dangers of Cesarean Birth: Making Informed Decisions

Friday, October 30th, 2009

Nicette Jukelevics, former chair of the International Childbirth Education Association's Cesarean Options Committee, has written a groundbreaking exposé of cesarean birth in the United States. Approximately 1 in 3 US women give birth by cesarean section, a rate that is 2 times higher than that recommended by the World Health ...

High C-section rates “worrying”

Thursday, October 29th, 2009

The rate of births by Caesarean section has increased sharply in the last two-and-a-half decades, according to new figures (Source: Nursing in Practice)

Trying forceps before C-section may not raise risks

Wednesday, October 28th, 2009

NEW YORK (Reuters Health) - Attempting to aid a difficult childbirth with forceps instead of immediately performing a C-section may not raise the risks to the baby in most cases, a new study suggests. (Source: Reuters: Health)

Human placental metabolic adaptation to chronic hypoxia, high altitude: Hypoxic pre-conditioning.

Tuesday, October 27th, 2009

Authors: Tissot van Patot MC, Murray AJ, Beckey V, Cindrova-Davies T, Johns J, Zwerdlinger L, Jauniaux ER, Burton GJ, Serkova NJ We have previously demonstrated placentas from laboring deliveries at high altitude have lower binding of hypoxia-inducible transcription factor (HIF) to DNA than those from low altitude. ...

Emergency Cesarean Section as a Result of Acute Eosinophilic Pneumonia during Pregnancy.

Saturday, October 24th, 2009

Authors: Kotani Y, Shiota M, Umemoto M, Nakai H, Tobiume T, Tsuritani H, Shimaoka M, Doh K, Hoshiai H Acute eosinophilic pneumonia is a disease of unknown etiology characterized by peripheral blood eosinophilia and pulmonary infiltrative shadows on radiography. Acute eosinophilic pneumonia follows an acute course within ...

Congenital hydrocephalus: gestational and neonatal outcomes

Friday, October 23rd, 2009

Conclusions  Fetal and neonatal prognosis and outcome are associated with the presence of associated anomalies and aneuploidy. Content Type Journal ArticleCategory Materno-fetal MedicineDOI 10.1007/s00404-009-1254-2Authors Marcelo Luís Nomura, Universidade Estadual de Campinas Unicamp Department of Obstetrics and Gynecology, School of Medicine Campinas SP BrazilRicardo Barini, Universidade Estadual de Campinas Unicamp Department ...

Gross Abnormalities of the Umbilical Cord: Related Placental Histology and Clinical Significance

Thursday, October 22nd, 2009

Conclusion: Gross cord abnormalities predispose the fetus to stasis-induced vascular ectasia and thrombosis, thus leading to vascular obstruction and adverse neonatal outcome, including IUGR and stillbirth. We recommend a thorough histopathologic evaluation of all placentas with gross cord abnormalities predisposing to cord compression. (Source: Placenta)

Luteoma-induced fetal virilization

Thursday, October 22nd, 2009

We report a typical case that we found at cesarean section to be associated with a virilized infant who manifested clitoromegaly and labial fusion. We detected an increased level of testosterone in the maternal patient. We concluded that the ovarian luteoma induced the fetal virilization. (Source: Journal of Obstetrics and ...